Headache, comorbidities and lifestyle in an adolescent population (The TEENs Study)

Objective To evaluate the prevalence and characteristics of headache and its relationship with comorbidities and lifestyle in a teenage population. Methods This is a cross-sectional study. Data was collected from students aged 12–18 years from six different schools in Catalonia, Spain. They completed an anonymous questionnaire with demographic, lifestyle, medical data, presence of recurrent headaches and its features, and completed the Strengths and Difficulties Questionnaire. We defined probable migraine if headache presented ≥ 3 ICHD-3 beta criteria for migraine. An analysis was performed to evaluate headache characteristics and compare lifestyles between those with or without headache. Results 1619 out of 1873 students completed the survey (response rate 86.4%). From these, 30.5% suffered from recurrent headache and 11.3% had migraine features; 32.9% of adolescents with headache had at least one episode per week and 44.1% showed some degree of headache-related disability measured by the PedMIDAS scale. In a univariate analysis, headache was significantly more frequent in girls (35.1% vs. 25.5%, p < 0.001), teenagers with poor sleeping habits (36.6% vs. 27.6%, p < 0.001), lower physical activity ( p = 0.002), those who did not have breakfast (37.3 vs. 28.4%, p = 0.001), smokers (10.5% vs. 4.9%, p < 0.001) and caffeine overusers (30.9% vs. 24.7%, p = 0.009). Comorbidities significantly associated with headache were: allergies (38.8% vs. 29.3%, p = 0.007), other chronic pain disorders (44.7% vs. 27.6% p < 0.001), mental health problems (53.2% vs. 29.0%, p < 0.001) and worse SDQ scores ( p < 0.001). Conclusions Headache is a common health problem among adolescents which impacts their quality of life. Headache is associated with presence of “unhealthy lifestyle” and other medical comorbidities. Educational initiatives should be started.

Download Full-text

Sleep, social behavior and food consumption of schoolchildren of a large Brazilian city

Public Health Nutrition ◽

10.1017/s1368980020003924 ◽

2020 ◽

pp. 1-24

Author(s):

Adriana Cândida da Silva ◽

Érica Leandro Marciano Vieira ◽

Luana Caroline dos Santos

Keyword(s):

Food Consumption ◽

Social Behaviour ◽

Cross Sectional Study ◽

Poor Sleep ◽

Biochemical Tests ◽

Cross Sectional ◽

Strengths And Difficulties ◽

Before School ◽

Sleep Talking

Abstract Objective: To characterize sleep and associated factors to their inadequacy, mainly social behaviour and food consumption of children and adolescents. Design: Cross-sectional study. Setting: Sleep information, social behaviour (Strengths and Difficulties Questionnaire), food consumption, demography, nutritional status, lifestyle and biochemical tests were investigated. Participants: Schoolchildren of the 4th grade of the municipal school system of a large Brazilian city. Results: A total of 797 schoolchildren, 50.9% was female, median of 9.7 (9.5-10.0) y old and energy consumption of 1819.7 (1429.9-2334.2) kcal. It was identified 31.6% of overweight and 76.8% reported insufficient weekly practice of physical activity. It was observed a median of 9.6 (8.9-10.5) h of sleep (lower values on weekdays: 9.3 vs 10.5h, P<0.001). In addition, 27% of individuals with inadequate sleep (<9h) enjoy longer screen time daily (≥2h/day) (P=0.05), inadequate bedtime (>22h) or adequate wake-up time (5-7h), study in the morning (P<0.001) and never take a shower before school (P<0.001). There was 9.9% of the sample with poor and very poor sleep quality and a greater probability of always sleep talking, have difficulty getting to sleep and inadequate social behaviour between these in relation to those with positive quality of sleep. There was no association of sleep with the other variables investigated. Conclusions: Sleep impairment contributed to changes in sleep and social behaviour in schoolchildren. The findings of this study may reinforce the importance of developing actions to promote adequate sleep and lifestyle at school age.

Download Full-text

Specialty Physician Designation in Referrals from a Vertically Integrated PCMH

Health Services Research and Managerial Epidemiology ◽

10.1177/2333392819850389 ◽

2019 ◽

Vol 6 ◽

pp. 233339281985038

Author(s):

Andrew D. Schreiner ◽

Keri T. Holmes-Maybank ◽

Jingwen Zhang ◽

Justin Marsden ◽

Patrick D. Mauldin ◽

...

Keyword(s):

Medical Home ◽

Univariate Analysis ◽

Cross Sectional Study ◽

Individual Characteristics ◽

Patient Centered Medical Home ◽

Patient Centered ◽

Cross Sectional ◽

Medical Specialties ◽

The Individual

Introduction: Primary care referrals to specialty physicians once relied upon the medical skill of the specialist, the quality of past communication, and previous consultative experiences. As health systems vertically integrate, patterns of specialty physician referral designation are not known. Methods: This cross-sectional study from a patient-centered medical home (PCMH) evaluated the proportion of referrals with named specialists. All outpatient specialty referrals from the PCMH between July and December of 2014 were eligible for inclusion, and 410 patients were randomly selected for chart review. The outcome of interest was specialty physician designation. Other variables of interest included PCMH provider experience, the reason for referral, and time to specialty visit. Univariate analysis was performed with Fisher exact tests. Results: Of 410 specialty referrals, 43.7% were made to medical specialties, 41.7% to surgical specialties, and 14.6% to ancillary specialties. Resident physicians placed 224 referrals (54.6%), faculty physicians ordered 155 (37.8%), and advanced practice providers ordered 31 (7.6%). Only 11.2% of the specialty referral orders designated a specific physician. No differences appeared in the reason for referral, the referral destination, the proportion of visits scheduled and attended, or the time to schedule between those referrals with and without specialty physician designation. Faculty physicians identified a specific specialist in 21.4% of referrals compared to residents doing so in 4.9% ( P < .0001). Conclusion: Patient-centered medical home referrals named a specific specialty physician infrequently, suggesting a shift from the historical reliance on the individual characteristics of the specialist in the referral process.

Download Full-text

Women’s Quality of Life at 6 Weeks Postpartum: Influence of the Discomfort Present in the Puerperium

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16020253 ◽

2019 ◽

Vol 16 (2) ◽

pp. 253 ◽

Cited By ~ 2

Author(s):

Juan Martínez-Galiano ◽

Antonio Hernández-Martínez ◽

Julián Rodríguez-Almagro ◽

Miguel Delgado-Rodríguez ◽

Ana Rubio-Alvarez ◽

...

Keyword(s):

Quality Of Life ◽

Ad Hoc ◽

Cross Sectional Study ◽

Postnatal Period ◽

Study Data ◽

Mean Difference ◽

Postpartum Woman ◽

Online Questionnaire ◽

Cross Sectional

Background: Discomfort during the puerperium period is very frequent in the lives of women but the influence of this discomfort on the women’s quality of life has been little studied. The objective of this study is to establish the association between discomfort and frequent problems of women in the puerperium and their quality of life score. Methods: A cross-sectional study on postpartum Spanish women was performed. Women older than 18 years and who had had a live birth were included. Less than 1% of women refused to participate in the study. Data were collected on socio-demographic, obstetric and newborn variables, on maternal problems/ discomfort in the postnatal period and on parameters that are quality of life indicators. An ad hoc online questionnaire which included the SF-36 Health Survey was used. Crude mean difference (cMD) and adjusted mean difference (aMD) were calculated through multiple linear regression. Results: 2990 women participated in the study. The greater problems causing quality of life loss were depressive symptoms (aMD = −12.40, CI 95%: −10.79, −14.01), lactation problems (aMD = −4.30, CI 95%: −2.97, −5.63), problems for sexual intercourse after childbirth (aMD = −6.34, CI 95%: −5.07, −7.60) and urinary incontinence (aMD = −4.97, CI 95%: −6.30, −3.65), among others. These have been detected as risk factors that affect the quality of life of the postpartum woman. Conclusions: The discomfort and problems manifested in the 6 weeks after childbirth have an influence that deeply affects the quality of life of postpartum women.

Download Full-text

The relationship between deinstitutionalization and quality of care in longer-term psychiatric and social care facilities in Europe: A cross-sectional study

European Psychiatry ◽

10.1016/j.eurpsy.2016.11.011 ◽

2017 ◽

Vol 42 ◽

pp. 95-102 ◽

Cited By ~ 7

Author(s):

T. Taylor Salisbury ◽

H. Killaspy ◽

M. King

Keyword(s):

Mental Health ◽

Quality Of Care ◽

Service User ◽

Multilevel Models ◽

Mental Health Problems ◽

Cross Sectional Study ◽

Community Based ◽

Cross Sectional ◽

The Relationship

AbstractBackgroundThe process of deinstitutionalization (community-based care) has been shown to be associated with better quality of life for those with longer-term mental health problems compared to long stay hospitals. This project aimed to investigate the relationship between national progress towards deinstitutionalization and (1) quality of longer-term mental health care (2) service users’ ratings of that care in nine European countries.MethodsQuality of care was assessed in 193 longer-term hospital- and community-based facilities in Bulgaria, Germany, Greece, Italy, the Netherlands, Poland, Portugal, Spain and the UK. Data on users’ ratings of care were collected from 1579 users of these services. Country level variables were compiled from publicly available data. Multilevel models were fit to assess associations with quality of care and service user experiences of care.ResultsSignificant positive associations were found between deinstitutionalization and (1) five of seven quality of care domains; and (2) service user autonomy. A 10% increase in expenditure was associated with projected clinically important improvements in quality of care.ConclusionsGreater deinstitutionalization of mental health mental health services is associated with higher quality of care and better service user autonomy.

Download Full-text

Quality of Life in Keratoconus: Evaluation With Keratoconus Outcomes Specific Questionnaire (KORQ)

10.21203/rs.3.rs-465823/v1 ◽

2021 ◽

Author(s):

roberto damian pacheco pinto ◽

Ricardo Yuji Abe ◽

Flavia Cid Gomes ◽

Paulo Rodolfo Tagliari Barbisan ◽

Alexandre Fattah Martini ◽

...

Keyword(s):

Quality Of Life ◽

Univariate Analysis ◽

Cross Sectional Study ◽

Wilcoxon Test ◽

Cross Sectional ◽

Specific Questionnaire ◽

Functional Scores ◽

History Of ◽

Assess Quality

Abstract Purpose: To assess quality of life in keratoconus patients using the Keratoconus Outcomes Research Questionnaire (KORQ) translated and validated to Portuguese language. KORQ is the only validated keratoconus specific questionnaire and has high rating for psychometric properties.Methods: In this cross-sectional study enrolled 100 patients with keratoconus from a tertiary referral eye hospital, from April 2018 to June 2019. Associations between age, gender, allergic conjunctivitis, keratoconus stage, best-corrected visual acuity (BCVA), maximum simulated keratometry (Kmax), steep keratometry (K2), pachymetry, treatments performed, hydrops and KORQ scores were evaluated with univariate (Wilcoxon test and the Kruskal Wallis test) and multivariate linear regression with stepwise backward modeling. Lower scores of KORQ are associated with better quality of life, as well as higher scores are associated with greater impairment of functional activities and symptoms.Results: Out of the 100 patients, mild, moderate and severe keratoconus, was observed in 15%, 46% and 39% of participants, respectively. Univariate analysis showed lower values for function scores with male gender (p<0.05) and both functional and symptoms scores statistically associated with BCVA<0.3 (LogMAR) (p<0.05). Multivariate analysis indicated significantly lower functional scores in individuals with BCVA<0.3 (p<0.001) and those with history of crosslinking treatment (p=0.022), while symptom scores were only statistically associated with BCVA<0.3 (p<0.001).Conclusions: In patients with keratoconus, BCVA in the better eye and history of crosslinkig are factors were associated with better quality of life scores using KORQ.

Download Full-text

Satisfação com a Especialidade entre os Internos da Formação Específica em Portugal

Acta Médica Portuguesa ◽

10.20344/amp.5899 ◽

2015 ◽

Vol 28 (2) ◽

pp. 209 ◽

Cited By ~ 5

Author(s):

Maria João Martins ◽

Inês Laíns ◽

Bruno Brochado ◽

Manuel Oliveira-Santos ◽

Pedro Pinto Teixeira ◽

...

Keyword(s):

Clinical Practice ◽

Total Population ◽

Medical Profession ◽

Cross Sectional Study ◽

Study Data ◽

Medical Residents ◽

Cross Sectional ◽

High Satisfaction ◽

Degree Of Satisfaction

Introduction: The satisfaction with the medical profession has been identified as an essential factor for the quality of care, the wellbeing of patients and the healthcare systems’ stability. Recent studies have emphasized a growing discontent of physicians, mainly as a result of changes in labor relations. Objectives: To assess the perception of Portuguese medical residents about: correspondence of residency with previous expectations; degree of satisfaction with the specialty, profession and place of training; reasons for dissatisfaction; opinion regarding clinical practice in Portugal and emigration intents. Material and Methods: Cross-sectional study. Data collection was conducted through the “Satisfaction with Specialization Survey”, created in an online platform, designed for this purpose, between May and August 2014. Results: From a total population of 5788 medical residents, 804 (12.25 %) responses were obtained. From this sample, 77% of the responses were from residents in the first three years. Results showed that 90% of the residents are satisfied with their specialty, 85% with the medical profession and 86% with their place of training. Nevertheless, results showed a decrease in satisfaction over the final years of residency. The overall assessment of the clinical practice scenario in Portugal was negative and 65% of residents have plans to emigrate after completing their residency. Conclusion: Portuguese residents revealed high satisfaction levels regarding their profession. However, their views on Portuguese clinical practice and the results concerning the intent to emigrate highlight the need to take steps to reverse this scenario.

Download Full-text

Evaluation of Perceived Stress and Mental Health of Health Defenders in Military and Civilian Hospitals Infected with Corona Virus (COVID 19)

10.21203/rs.3.rs-1030986/v1 ◽

2021 ◽

Author(s):

Amir mohsen Rahnejat ◽

mohammadreza ghasemzadeh ◽

Arsia Taghva ◽

Vahid Donyavi ◽

Farnoosh Yari ◽

...

Keyword(s):

Mental Health ◽

Perceived Stress ◽

Mental Health Problems ◽

Univariate Analysis ◽

Hospital Staff ◽

Cross Sectional Study ◽

Military Hospital ◽

Psychological Resilience ◽

Cross Sectional ◽

Significant Difference

Abstract Background: Considering the prevalence of coronavirus and its effect on mental health and increasing perceived stress, the aim of this study was to investigate the perceived stress and mental health of health defenders in military and civilian hospitals involved in treating patients with COVID 19. Methods: The present study was a descriptive cross-sectional study. The available sampling method was done by sending online questionnaires of demographic characteristics, Goldberg general health and perceived stress (PSS). 323 health advocates were involved with virus patients. Through descriptive statistics, independent mean test, univariate analysis of variance and chi-square test were analyzed using SPSS 25 version. Results: the frequency of symptoms of mental disorder in military hospital staff (61.1%) and civilian hospital staff (50.7%) which indicates a significant difference between the two groups of employees (P <0.05); But there is no significant difference between the two groups in perceived stress.Conclusion: Considering the stressful period of COVID 19 pandemic, to reduce and prevent the psychological effects of this pandemic such as burnout, mental health problems, symptoms of persistent stress, providing psychological resilience interventions for treatment staff on the front lines of the crisis is one of the highest priorities during this epidemic.

Download Full-text

Investigation of relationship between spiritual intelligence and quality of life in nurses of Birjand teaching hospitals

Journal of Birjand University of Medical Sciences ◽

10.32592/jbirjandunivmedsci.2020.27.3.108 ◽

2020 ◽

pp. 85-91

Keyword(s):

Quality Of Life ◽

Emotional Health ◽

Cross Sectional Study ◽

Study Data ◽

Spiritual Intelligence ◽

Teaching Hospitals ◽

Average Score ◽

Cross Sectional ◽

General Health Score

Spiritual intelligence is a set of abilities to take advantage of religious resources that can predict a person's quality of life and adjustment. The aim of this study was to investigate the relationship between spiritual intelligence and quality of life in nurses of Birjand teaching hospitals in a descriptive-analytical and cross-sectional study. Data were collected by using the Spiritual Intelligence Questionnaires (SISRI-24) and Quality of Life (SF36) and analyzed using the correlation and t-tests. In this study, 187 subjects were included in the study, of which 42.2% were male and 58.8% were female. The average score of spiritual intelligence of the subjects was 48, which is lower than average. Based on the results of correlation coefficient test, there was a significant relationship between spiritual intelligence and emotional health (r=0.77) and the individual's general health score (r=0.20). Based on the results, the spiritual intelligence score of the subjects was moderate and low. On the other hand, spiritual intelligence predicted some areas of quality of life in nurses, Therefore, the implementation of programs aimed at increasing the spiritual intelligence of individuals can increase the quality of life of nurses.

Download Full-text

The role of occupational meaningfulness and citizenship as mediators between occupational status and recovery: a cross-sectional study among residents with co-occurring problems

Advances in Dual Diagnosis ◽

10.1108/add-08-2020-0018 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Linda Nesse ◽

Geir Aamodt ◽

Marianne Thorsen Gonzalez ◽

Michael Rowe ◽

Ruth Kjærsti Raanaas

Keyword(s):

Quality Of Life ◽

Community Participation ◽

Mental Health Problems ◽

Occupational Status ◽

Cross Sectional Study ◽

Supported Housing ◽

Cross Sectional ◽

Content Type ◽

The Relationship

Purpose Engagement in meaningful occupations and being included as full citizens of the community, is essential in everyday life, and may be of considerable relevance for recovery and quality of life. However, persons with co-occurring substance use and mental health problems experience extensive obstacles to engagement in occupations and citizenship. The relationship between objective measures of occupational status and subjective experiences of occupational meaningfulness, citizenship and recovery, is scarcely researched in the context of co-occurring problems. As such, the purpose of this study is to examine associations between occupational status, occupational meaningfulness, citizenship and recovery and quality of life and to examine the roles of occupational meaningfulness and citizenship as possible mediators between occupational status and recovery and quality of life. Design/methodology/approach The study used a cross-sectional design with a sample of 104 residents at supported housing sites across six Norwegian cities. Findings Linear regression analyzes indicated that occupational status was significantly associated with the citizenship domains caring for others and community participation and with the quality of life measure positive affect. Occupational meaningfulness and citizenship were significantly associated with different domains of recovery and quality of life. Furthermore, mediation analyzes showed that the relationship between occupational status and recovery and quality of life was mediated by caring for others and community participation. Originality/value The results suggest that emphasizing opportunities for occupational meaningfulness and citizenship in practice may have positive implications for recovery among persons with co-occurring problems.

Download Full-text

Prevalence of polymorphisms in the ANKK1, DRD2, DRD3 genes and metabolic syndrome in refractory schizophrenia

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.2222.2983 ◽

2018 ◽

Vol 26 (0) ◽

Cited By ~ 2

Author(s):

Jeizziani Aparecida Ferreira Pinto ◽

Pedro Henrique Batista de Freitas ◽

Fernanda Daniela Dorneles Nunes ◽

Paulo Afonso Granjeiro ◽

Luciana Lara dos Santos ◽

...

Keyword(s):

Metabolic Syndrome ◽

Univariate Analysis ◽

Cross Sectional Study ◽

Cross Sectional ◽

Homozygous Genotype ◽

Significant Difference ◽

High Prevalence ◽

Low Hdl ◽

Schizophrenic Patients

ABSTRACT Objective: to estimate the prevalence of TaqIA, -141C and rs6280 polymorphisms of the ANKK1, DRD2 and DRD3 genes and evaluate their association with the occurrence of metabolic syndrome in patients with refractory schizophrenia. Method: cross-sectional study conducted in the Extended Western Region of Minas Gerais, with refractory schizophrenic patients using the antipsychotic clozapine. Sociodemographic, clinical, anthropometric, biochemical and genetic data were collected. Univariate analysis of the data was performed. Results: seventy-two patients participated in the study and the occurrence of Metabolic Syndrome was observed in 47.2% of them. There was no association between Metabolic Syndrome and the studied polymorphisms. There was a statistically significant difference in the low HDL parameter with homozygous genotype for the C allele of the -141C polymorphism of the DRD2 gene. Conclusion: a high prevalence of MS was evidenced. The -141C polymorphism was associated with low HDL. Genetic analysis and identification of metabolic alterations in this group of patients can guide drug treatment and provide a better quality of life.

Download Full-text